Provider Demographics
NPI:1881942332
Name:SPENCER, JAMES CYRIL (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CYRIL
Last Name:SPENCER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W ATLANTIC AVE.
Mailing Address - Street 2:STE 015
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444
Mailing Address - Country:US
Mailing Address - Phone:561-455-4850
Mailing Address - Fax:561-330-6097
Practice Address - Street 1:401 W ATLANTIC AVE.
Practice Address - Street 2:STE 015
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444
Practice Address - Country:US
Practice Address - Phone:561-455-4850
Practice Address - Fax:561-330-6097
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12114111NS0005X
FLCH10999111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician